Operative Considerations for the General Surgeon in Patients with Chronic Liver Disease

Autor:	Matthew C. Bozeman, Dylan T. Adamson, Alison Burton, Matthew V. Benns, Christopher M. Jones, Eric G. Davis
Rok vydání:	2019
Předmět:	medicine.medical_specialty Cirrhosis business.industry medicine.medical_treatment MEDLINE General Medicine Perioperative Chronic liver disease medicine.disease Comorbidity Fibrosis medicine In patient Hepatectomy Intensive care medicine business
Zdroj:	The American Surgeon. 85:234-244
ISSN:	1555-9823 0003-1348
DOI:	10.1177/000313481908500236
Popis:	Chronic liver disease remains a prevalent and challenging comorbidity in the American population at large. Scarring and fibrosis cause physical and physiological changes that may prove challenging in both medical and surgical management. However, because there has been relevant improvements in preoperative diagnostic, perioperative hepatologic, and intensive care management, as well as in surgical techniques, patients with cirrhosis can safely be operated on but patient selection remains vital. Patients with chronic liver disease may present to a general surgeon for evaluation of a number of elective or emergent surgical conditions. Here, we review current literature on the perioperative management and operative strategies of seemingly routine general surgery issues and provide a review of the pathophysiology associated with chronic liver disease.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::536fd5730825a8abf51880cab2b969b9 https://doi.org/10.1177/000313481908500236 Zobrazit plný text záznamu